Director of Medical Economics Consulting Analytics CaliforniaWest Coast
Director of Medical Economics Consulting Analytics CaliforniaWest Coast
Posted on :
05-04-2025
Employer Active
1 Vacancy
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Monthly Salary
$ 155000 - 200000
Vacancy
1 Vacancy
Posted on :
05-04-2025
Job Description
Description
The Director of Medical Economics and consulting analytics will work closely with firm management to lead the medical economics components and play a key role in configuration and business process redesign and data workflow integration for Analytics for Risk Contracting (ARC) comprehensive population health platform implementations and ongoing operations initially in California and over time expanding to include Nevada Arizona Texas and potentially additional West Coast states as well as for any accounts nationally as assigned. Client work will include complex internal and external projects related to the design build and delivery of analytics solutions for delegated IPAs taking professional risk dual risk arrangements between IPAs and hospitals restricted KnoxKeene entities MSSP ACOs and other risk bearing organizations and health plans.
The role involves both strategic advisory and handson work with client staff providers executives vendors and other stakeholders to successfully integrate ARC analytics and workflow outputs into client EMR and other systems to improve clients profitable revenue including both growth and performance.
FLSA Status
NonExempt
Salary Range
$155000$200000
Reports To
Principal / EVP of Medical Management & Medical Economics
Direct Reports
Yes
Location
Travel
Up to 60
Work Type
Regular
Schedule
Full Time
Position Description:
- Lead and oversee the implementation process for ARC ensuring clients successful adoption and utilization of our technology platform for clients located initially in California and over time expanding to include Nevada Arizona Texas and potentially additional West Coast states as well as for any accounts nationally as assigned.
- Drive the development of new processes reporting and continuous improvement initiatives to improve profitable revenue including both growth and performance improvements and to accomplish the goals objectives and strategic plans for West Coast Managed Care Plans IPAs and provider systems.
- Lead and implement ARC EMR and HIE Integration for clients on the West Coast Provider Systems IPA and Managed Care Plans
- Design and implement with client workflow integration for various key client roles that include ensuring the right data and reports flow out of ARC to the necessary people/platforms/workflows as well as ensuring proper configuration of and client role access to the appropriate ARC dashboards and scorecards and to ensure that the necessary data to power required ARC analytics is flowing into ARC at the required frequency.
- Work crossfunctionally to troubleshoot and resolve challenges in large and complex healthcare data implementations ensuring a smooth process for our customers
- Act as an escalation point for customer issues swiftly resolving any concerns and maintaining a high level of customer satisfaction throughout the implementation process
- Develop track and enhance KPIs and analytics reporting and manage client deliverables from scope development to output generation
- Provide thought leadership on best practices influencing the companys approach and methodologies for efficient and accelerated project delivery.
- Serve as a people leader guiding and mentoring a team to deliver exceptional results and foster their growth and development.
- Document technical and systems requirements (functional and nonfunctional) as needed including development of checklists and user guides (internal and clientfacing) to support standard work and delivery efficiencies
- Accountable for proactive risk management at various levels including quality/firm standards operational/PM risks communication budget and resource constraints
- Lead or support related internal improvement initiatives and reporting processes
- Maintain a deep understanding of our firms service lines/offerings and seek out opportunities to understand and participate in firms business development pipeline and sales cycle.
- Ensure compliance with all local state and federal regulations and ethical standards
Qualifications:
- Masters degree in an applicable field preferred (e.g. MBA MPH MHA MPA)
- At least 8 years of health care analytics and/or consulting experience of progressively advanced reports data management and visualization experience.
- Experience working in and/or operationalizing Restricted KnoxKieene and California delegated professional risk IPAs required experience operationalizing California IPA and hospital dual risk arrangements preferred.
- Prior experience in:
- Population health management reporting and analytics
- Health information technology
- Health care policy with experience in CMS Medicare and Medicaid contracts
- Healthcare claims data and clinical data integration (EMR HIE etc.
- Advanced SQL skills experience with data visualization platforms (e.g. Tableau Cognos Power BI)
- Strong project management skills including organization prioritization and problemsolving skills; strong oral verbal and interpersonal communication skills. Ability to take direction and feedback from both internal and external stakeholders.
- Ability to work effectively on multiple projects in a fastpaced environment
- Deep knowledge and understanding of the RKK and CA IPA Requirements and functions.
Benefits:
As a firm passionate about health care were deeply committed to the health and wellness of our own team members. We offer comprehensive affordable insurance plans for our team and their families and a host of other unique benefits such as a yearly stipend for wellnessrelated activities and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions/careers/whycopehealthsolutions/.
About COPE Health Solutions
COPE Health Solutions is a national techenabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise experience proven tools and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS derisks the roadmap to advanced valuebased payment and improves quality and financial performance for providers health plans and selfinsured employers. For more information visit CopeHealthSolutions.
To Apply:
To apply for this position or for more information about COPE Health Solutions visit us at https://copehealthsolutions/careers/openpositions/.
COPE Health Solutions is a national techenabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise experience proven tools and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS derisks the roadmap to advanced valuebased payment and improves quality and financial performance for providers health plans and selfinsured employers. For more information visit CopeHealthSolutions.
To Apply:
To apply for this position or for more information about COPE Health Solutions visit us at https://copehealthsolutions/careers/openpositions/.
Required Experience:
Director
Employment Type
Full-Time
Key Skills
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